NPI | 1447929922 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 134318) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 12016) |
Enumeration Date | 2021-09-08 |
Last Update Date | 2025-01-08 |